摘要
目的观察分析分娩镇痛中采用钢丝加强型聚脲胺酯硬膜外导管的临床效果及安全性。方法选取2016年3月-2019年3月期间在该院行无痛分娩的130名产妇,术中均采取硬膜外麻醉处理,根据随机抽签法分为实验组(65名,采用钢丝加强型聚脲胺酯硬膜外导管)和对照组(65名,采用普通硬膜外导管),对比两组产妇不良反应发生率。结果实验组产妇回抽见脑脊液率(0.0%)和对照组(3.1%)差异无统计学意义(χ^2=2.232,P>0.05),实验组患者拔管后出血率(1.5%)、导管拉长率(0.0%)、注药受阻率(1.5%)、回抽见血率(0.0%)、置管困难率(0.0%)、置管异感率(0.0%)等均显著低于对照组12.3%、7.7%、10.8%、13.8%、9.2%、7.7%(χ^2=9.633、5.342、8.121、10.652、8.201、5.342,P<0.05)。结论无痛分娩产妇术中采用钢丝加强型聚脲胺酯硬膜外导管可起到良好的镇痛效果,且有利于减少不良反应的发生,具有较高的安全性,值得在临床上广泛推广应用。
Objective To observe the clinical efficacy and safety of wire-reinforced polyurethramine epidural catheter in labor analgesia.Methods A total of 130 women who underwent painless delivery in the hospital from March 2016 to March 2019 were treated with epidural anesthesia.They were divided into experimental group(65 cases,using wire-reinforced type polyureaamine epidural catheter)and control group(65 patients,using a common epidural catheter)according to random sampling,compared the incidence of maternal adverse reactions in the two groups.Results There was no statistically significant difference in the rate of cerebrospinal fluid(0.0%)between the experimental group and the control group(3.1%)(χ^2=2.232,P>0.05).The bleeding rate after extubation in the experimental group(1.5%),catheterization long rate(0.0%),the rate of drug injection(1.5%),the rate of withdrawal(0.0%),the difficulty of catheterization(0.0%),and the rate of catheter disability(0.0%)were significantly lower than the control group 12.3%,7.7%,10.8%,13.8%,9.2%,7.7%(χ^2=9.633,5.342,8.121,10.652,8.201,5.342,P<0.05).Conclusion The use of wire-reinforced polyurethramine epidural catheter in painless delivery can have good analgesic effect and is beneficial to reduce the occurrence of adverse reactions.It has high safety and is worthy of widespread promotion and application in clinical practice.
作者
秦勇
QIN Yong(Department of Anesthesiology,Xuyi Hospital of Traditional Chinese Medicine,Xuyi,Jiangsu Province,211700 China)
出处
《系统医学》
2019年第20期57-59,共3页
Systems Medicine
关键词
无痛分娩
分娩镇痛
钢丝加强型聚脲胺酯硬膜外导管
安全性
效果观察
Painless delivery
Labor analgesia
Wire-reinforced polyureaamine epidural catheter
Safety
Effect observation
